Malawi Blog 12 januari 2016

Tuesday 12-01-2016

7.30-10.00

We started the day with a presentation about how to examinate an animal and how to differentiate between healthy and unhealthy. Most participants were already prepared because we told them yesterday that they should read this chapter. Our own preparation could actually have been better because we made some mistakes in the presentation, as we changed some things the evening before. We corrected them at the moment itself. It might also have been be a bit too much to discuss the whole general appearance and clinical examination in one morning.

10.15-12.00

We discussed two real life cases; one of Masida and one about the problem with Steven’s cow.

  • Case Masida: A cow that ate less, was painful while defeacating and loosed weight. The participants did the patient history and asked Masida the questions. They did it a lot better than yesterday already! After this we gave them the answers on the general appearance and clinical examination. This seemed to work quite well because the participant really had to think in the way they need to do it in the field. Here they for example learned that the breathing and polse can still be fine although an animal has symptoms like in this case.
  • Case Steven: Steven left yesterday because one of his cows was not feeling well. He told that his intestines came out of his anus. When we discussed the case today, we actually came to know that the cow ate rotten intestines of another animal that came out with the faeces. In the history, it was clear that the participants were critical about the khola construction. Steven told them that he just moved and that it still under construction was. This was totally fine for the rest. They were also critical about the fact that he leads his animals. Steven also told that he dewormed his cows every 3 months with ivermectin and longacting. He gave it as a powerdrug and a painkiller. We were a bit shocked about this, because this is really not what we want. We told Steven that he maybe could not know, but that it is dangerous to give antibiotics to healthy animals and that it is definitely not good and not allowed to give it as a prevention drug. We told the participants that we will discuss the working and risks of medicines comprehensively this course.

13.15-15.00

We went up to the DIO farms to do the practical in general appearance and clinical examination. We divided the group in two so that Iris and Eva both had their own group. We wanted to use the goats, donkeys and cows. We started with the cows and directly discovered that they are not easy to handle. The cow from Eva’s group was actually not really able to be touched. This was the sick cow we discussed this morning. We did the general appearance, the hydration status and the temperature. The cow already looked a bit better than yesterday following Masida. The donkeys were much easier to handle. The participants were still very afraid to touch and examinate the animals.

 

15.15-16.30

After the break we did the general appearance and clinical examination of the goats. We must pay attention that the participants do not catch the animals before doing general appearance.  After doing it together, the participants exanimated an animal on their own in groups of two. Here they were too fast and did not take the time to really catch the animals to examine them.